Individual
FAITH L MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
26 PORTLAND STREET, PORTLAND, ME 04101
(207) 761-8402
(207) 761-8405
Mailing address
26 PORTLAND STREET, PORTLAND, ME 04101
(207) 761-8402
(207) 761-8405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT347
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023222
ANTHEM
ME
Enumeration date
05/16/2007
Last updated
03/05/2013
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